A 20-year-old female presented to our Emergency Department (ED) complaining of intermittent
vaginal bleeding for approximately 4 weeks. She was referred to the ED after being
seen at an outside clinic earlier the same day and found to have a positive pregnancy
test. The patient was surprised to find out that she was pregnant, as she had an intrauterine
contraceptive device (IUCD) placed after the birth of her last child 2 years earlier.
The patient was Gravida 5, Para 3, and reported that her last menstrual period was
8 weeks prior to her ED visit. She had had three normal-term spontaneous vaginal deliveries,
the last one of which was 2 years ago. She was in good health, was on no medications,
and had no complaints other than vaginal bleeding.
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Article info
Publication history
Accepted:
October 17,
2000
Received in revised form:
September 22,
2000
Received:
March 3,
2000
Identification
Copyright
© 2001 Elsevier Science Inc. Published by Elsevier Inc. All rights reserved.
